Piovaccari G, Melandri G, Marzocchi A, Scarfoglio D, Sanguinetti M, Magnani B
Cardiologia. 1989 Apr;34(4):375-7.
Diffuse communications between the left coronary artery and the left ventricular cavity were found in a 54-years-old man presenting with angina pectoris and reversible ischemia documented on stress Thallium scintigraphy. During atrial pacing the patient experienced chest pain which was accompanied by lactate production. Atenolol, but not nifedipine, did ameliorate the symptoms. The anatomical types and the embriogenesis of coronary microfistulas along with possible mechanisms of ischemia are discussed.
在一名54岁患有心绞痛且运动铊闪烁扫描显示有可逆性缺血的男性患者中，发现左冠状动脉与左心室腔之间存在弥漫性交通。在心房起搏期间，患者出现胸痛并伴有乳酸生成。阿替洛尔可改善症状，而硝苯地平则不能。文中讨论了冠状动脉微瘘的解剖类型、胚胎发生以及可能的缺血机制。
